Individual
MS. KELLIE ANN MASTROGIOVANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA
Contact information
Practice address
276 HIGHLAND AVE, WATERBURY, CT 06708-3022
(475) 414-5800
Mailing address
263 LAUREL HILL RD APT 8, TORRINGTON, CT 06790-5714
(860) 459-9717
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2075
CT
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/17/2023
Last updated
03/28/2025
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